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Open AccessArticle

Effects of Nutrition and Exercise Health Behaviors on Predicted Risk of Cardiovascular Disease among Workers with Different Body Mass Index Levels

1
Occupational Health Center, Changhua Christian Hospital, Changhua 500, Taiwan
2
Department of Community Health, Chia-Yi Christian Hospital, Chiayi 600, Taiwan
3
Room of Clinical Psychology, Chung-Shan Medical University Hospital, Taichung 402, Taiwan
4
Department of Psychology, Chung-Shan Medical University, Taichung 402, Taiwan
5
Department of Business Administration, Hwa Hsia Institute of Technology, New Taipei City 235, Taiwan
6
Department of Leisure Services Management, Chaoyang University of Technology, Taichung 413, Taiwan
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2014, 11(5), 4664-4675; https://doi.org/10.3390/ijerph110504664
Received: 30 December 2013 / Revised: 31 March 2014 / Accepted: 21 April 2014 / Published: 29 April 2014
(This article belongs to the Special Issue Health Behaviors and Public Health)
Workplace health promotion programs should be tailored according to individual needs and efficient intervention. This study aimed to determine the effects of nutrition and exercise health behaviors on predicted risk for cardiovascular disease (CVD) when body mass index (BMI) is considered. In total, 3350 Taiwanese workers were included in this cross-sectional study. A self-reported questionnaire was used to measure their nutrition and exercise behaviors. Data on anthropometric values, biochemical blood determinations, and predicted CVD risk (using the Framingham risk score) were collected. In multiple regression analyses, the nutrition behavior score was independently and negatively associated with CVD risk. Exercise was not significantly associated with the risk. However, the interactive effect of exercise and BMI on CVD risk was evident. When stratified by BMI levels, associations between exercise and CVD risk were statistically significant for ideal weight and overweight subgroups. In conclusion, nutrition behavior plays an important role in predicting the CVD risk. Exercise behavior is also a significant predictor for ideal weight and overweight workers. Notably, for underweight or obese workers, maintaining health-promoting exercise seems insufficient to prevent the CVD. In order to improve workers’ cardiovascular health, more specific health-promoting strategies should be developed to suit the different BMI levels. View Full-Text
Keywords: nutrition; exercise; body mass index; CVD; Framingham risk score; health promotion; worker nutrition; exercise; body mass index; CVD; Framingham risk score; health promotion; worker
MDPI and ACS Style

Huang, J.-H.; Huang, S.-L.; Li, R.-H.; Wang, L.-H.; Chen, Y.-L.; Tang, F.-C. Effects of Nutrition and Exercise Health Behaviors on Predicted Risk of Cardiovascular Disease among Workers with Different Body Mass Index Levels. Int. J. Environ. Res. Public Health 2014, 11, 4664-4675. https://doi.org/10.3390/ijerph110504664

AMA Style

Huang J-H, Huang S-L, Li R-H, Wang L-H, Chen Y-L, Tang F-C. Effects of Nutrition and Exercise Health Behaviors on Predicted Risk of Cardiovascular Disease among Workers with Different Body Mass Index Levels. International Journal of Environmental Research and Public Health. 2014; 11(5):4664-4675. https://doi.org/10.3390/ijerph110504664

Chicago/Turabian Style

Huang, Jui-Hua; Huang, Shu-Ling; Li, Ren-Hau; Wang, Ling-Hui; Chen, Yu-Ling; Tang, Feng-Cheng. 2014. "Effects of Nutrition and Exercise Health Behaviors on Predicted Risk of Cardiovascular Disease among Workers with Different Body Mass Index Levels" Int. J. Environ. Res. Public Health 11, no. 5: 4664-4675. https://doi.org/10.3390/ijerph110504664

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